More history about his pain

He has already received sublingual glyceryl nitrate three times from the paramedics with no improvement in his symptoms.

The following is an outline of your initial conversation with Chester:

• You: How long have you had the pain for?
• Mr T: The pain started around midnight and it has been getting worse.
• You: And how would you describe the pain?
• Mr T: It's a dull heavy pain in my chest that radiates out into my left shoulder.
• You: Is it a persistent pain, or does it come and go?
• Mr T: Well, it's been at its worst for the past hour!
• You: Were you exerting yourself physically in any way before the pain began?
• Mr T: No, it actually woke me up.
• You: Do you feel breathless, sick or sweaty with the pain?
• Mr T: Yes, I feel sweaty and my breathing doesn't feel as easy as normal.
• You: Have you ever experienced anything like this before?
• Mr T: No, nothing like this before!
• You: Have you had any heart or lung problems in the past?
• Mr T: No.
• You: Has anyone in your Family had heart problems like a heart attack or angina?
• Mr T: No, I don't think so.
• You: Do you smoke cigarettes?
• Mr T: No.

What do want to do next?